151.4 📌 章末速蚘

  • Gram + diplococcus, optochin S, capsule = virulence
  • CAP / meningitis / AOM 䞉倧 (成人 community meningitis #1)
  • Treatment: ceftriaxone (± vanco for meningitis); + dexamethasone
  • Austrian’s: pneumonia + meningitis + endocarditis
  • 疫苗: PCV20 或 PCV21 (V116, 2024) for ≥ 65 + 19-64 高危
  • ç„¡è„Ÿ / HIV / CKD: 必打 + PPSV23 cover